Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.25 / $1,113.38 / $18,711.00	Facility		$513.25	$1,113.38	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.53 / $376.43 / $814.09	Professional		$239.53	$376.43	$814.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $171.32 / $384.51	Professional		$171.32	$171.32	$384.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $579.92 / $1,848.40 / $3,936.16	Facility		$579.92	$1,848.40	$3,936.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $389.49 / $782.93 / $5,940.86	Professional		$389.49	$782.93	$5,940.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $1,110.00	Facility		$511.44	$777.59	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.57 / $594.66 / $1,123.05	Professional		$352.57	$594.66	$1,123.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $399.00 / $631.37 / $1,017.76	Facility		$399.00	$631.37	$1,017.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.18 / $640.03 / $1,017.76	Professional		$399.18	$640.03	$1,017.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $413.98 / $945.38	Professional		$45.48	$413.98	$945.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $480.77 / $719.91 / $850.23	Facility		$480.77	$719.91	$850.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $572.14 / $579.92	Facility		$236.51	$572.14	$579.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.24 / $682.38 / $1,063.53	Professional		$390.24	$682.38	$1,063.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $375.61 / $583.51 / $982.21	Professional		$375.61	$583.51	$982.21
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.67 / $608.41 / $1,218.47	Professional		$506.67	$608.41	$1,218.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.14 / $298.14 / $466.64	Professional		$298.14	$298.14	$466.64